Ms. Kelly C Defeo, CRNA, APRN, PHD
Nurse Practitioner, Family in Glen, New Hampshire
1699757906- Practice location
- 15 US Rte 302, Glen, NH 03838-6300
- Phone
- 603-730-5356
- Fax
- 603-730-5477
- Last updated
- April 8, 2025
Kelly Catherine Defeo is a Nurse Practitioner, Family based in Glen, NH. Kelly Catherine Defeo practices in Glen, NH and has the professional credentials of CRNA, APRN, PHD. The NPI Number for Kelly Catherine Defeo is 1699757906 and holds a License No. 047170-23-11 (NH). The current practice location address for Kelly Catherine Defeo is 15 US Rte 302, Glen, NH 03838-6300 and can be reached out via phone at 603-730-5356 and via fax at 603-730-5477.
Provider Profile Details
- NPI Number
- 1699757906
- Provider Name
- Kelly Catherine Defeo
- Credential
- CRNA, APRN, PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 15 US Rte 302, Glen, NH 03838-6300
- Phone Number
- 603-730-5356
- Fax Number
- 603-730-5477
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 14, 2005
- Last Update Date
- April 8, 2025
- Certification Date
- April 1, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 US Rte 302
Glen, NH 03838-6300 - City
- Glen
- State
- New Hampshire
- Zip
- 03838-6300
- Phone Number
- 603-730-5356
- Fax Number
- 603-730-5477
Provider Business Mailing Address Details
- Address
- Po Box 125
Center Conway, NH 03813-0125 - City
- Center Conway
- State
- NH
- Zip
- 03813-0125
- Phone Number
- 603-730-5356
- Fax Number
- 603-730-5477
License Information
- License Number (1)
- 047170-23-11
- License State (1)
- NH
- Taxonomy (1)
- Nurse Anesthetist, Certified Registered · 367500000X
- License Number (2)
- 04717023
- License State (2)
- NH
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Kelly C Defeo, CRNA, APRN, PHD?
The NPI number of Ms. Kelly C Defeo, CRNA, APRN, PHD is 1699757906. It was assigned on November 14, 2005 and is currently active in the NPPES registry.
What is the specialty of Ms. Kelly C Defeo, CRNA, APRN, PHD?
Ms. Kelly C Defeo, CRNA, APRN, PHD is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NH under license number 047170-23-11.
Where does Ms. Kelly C Defeo, CRNA, APRN, PHD practice?
The practice location is 15 US Rte 302, Glen, NH 03838-6300. The office can be reached at 603-730-5356 (phone) or 603-730-5477 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699757906 directly on the NPPES registry website.